Claims Resolution Representative

Claims Resolution Representative

23 Jul 2024
Michigan, Southfield, 48033 Southfield USA

Claims Resolution Representative

Vacancy expired!

Great Expressions Dental Centers is looking to add a full time team member to our dynamic Accounts Receivable team at our Practice Support Center located in Southfield, MI.The Claims Resolution Representative is responsible for following a detailed list of requirements from carriers for medical record and imaging documents to attach to claims and prior authorizations. This position requires careful time management to get through a daily work list paying careful attention to detail and capturing all relevant and required medical documentation to be submitted to the carrier. This role also requires basic revenue cycle understanding, moderate Excel skills and the ability to stay self-paced while engaging with the team consistently. Success in this role is greatly dependent on self-motivation, attention to detail and time management.We’ve built one of the largest networks of dental care providers in the United States, showing that we are growing bigger for the benefit of our patients. What you'll find exciting about this position is the growth potential and rewards that exist for the talented individual who lands this position.The ideal Claims Specialist candidate has an advanced understanding of the dental insurance and x-rays. This candidate needs to be able to keep up with our fast pace and a high volume of requests, but also stay detail oriented. Our team supports over 275+ dental offices.When you join our team, you benefit in many ways: Exciting Team Environment

Competitive Pay

Medical,Vision and Dental coverage offered

Accident Coverage

Hospital Indemnity Coverage

Paid Holidays and Vacation Time

Company Paid Uniforms

401k, Life Insurance, Short and Long Term Disability plans

ID theft protection

Opportunity for Career Advancement/Recognition and Growth with a Rapidly Growing Company

Tuition Reimbursement

Power of One Rewards

Convenient New Hire Orientation for all team members

Pet Insurance

COVID-19: Great Expressions and all supported dental offices comply with all local, state and federal regulations. Employment is contingent upon an individual’s continued compliance with regulations and Great Expressions’ policy, including COVID-19 vaccination or testing.Work daily lists according to carrier requirements in NEA

Respond in a timely manner to urgent field requests for prior authorizations or claim attachment issues

Communicate with team lead and manager on patterns or recurring issues

Capture all images correctly to attach to claims and prior authorizations

Carefully examine medical records for relevant information to ensure payment on initial claim submissions

Work closely with the Attachment Team and Team Lead to ensure effective processes are followed and procedures stay up to date with carrier requirements

Analytical and problem solving skills with a passion for detail & accuracy

Reliability and flexibility with time committed to the position

Excellent organizational and time management skills

1+ years Dental Front Desk, Medical/ Dental Claims, Clinical knowledge of x-rays and reports

High volume, fast-paced office experience a plus

Proficiency in Microsoft Outlook, Excel and claim attachment programs

Proficiency in reading dental x-rays and reports

ID: 2022-24269 External Company URL: www.greatexpressions.com Street: 29777 Telegraph Road, Suite 3000

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Job Details

  • ID
    JC44329940
  • State
  • City
  • Full-time
  • Salary
    N/A
  • Hiring Company
    Great Expressions Dental Centers
  • Date
    2022-07-24
  • Deadline
    2022-09-22
  • Category

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